Which acid-base imbalance should the nurse be prepared for in a client who has acute pancreatitis?
A. Metabolic acidosis
B. Metabolic alkalosis
C. Respiratory acidosis
D. Respiratory alkalosis
A
The pancreas is a major site of bicarbonate production. Pancreatitis can cause a relative metabolic acidosis through the underproduction of bicarbonate ions.
You might also like to view...
The nurse admits a patient diagnosed with a systemic fungal infection and is ordered IV fluconazole. When developing the plan of care for this patient, the nurse would use what nursing diagnosis related to this medication?
A) Chronic pain related to the gastrointestinal (GI) system, central nervous system (CNS), and local effects of drug B) Risk for altered perfusion secondary to system cardiovascular effects of drug C) Disturbed sensory perception (kinesthetic) related to CNS effects D) Monitor IV sites to ensure that phlebitis or infiltration does not occur.
The nurse is caring for a patient post-PTCA (percutaneous transluminal coronary angioplasty) who has returned to the nursing unit with a large peripheral vascular access sheath in place. An immediate nursing intervention includes:
A) Instructing the patient to lie flat in bed and keep the affected leg straight until the sheath is removed B) Pressure dressing to the site and then resumption of ambulation C) Assisted ambulation for the first few hours after the procedure until hemostasis is achieved D) Removal of the pressure dressing with replacement of an adhesive bandage
The nurse is caring for several patients and determines which patient to be most at risk for developing an infection related to a decreased anti-inflammatory response?
a. A patient who has been experiencing high levels of stress for the last 3 months. b. A patient with a glycosylated Hgb level of 6.7%. c. A patient with osteoarthritis who was re-cently diagnosed. d. A patient who is scheduled for laparos-copic cholecystectomy in 2 weeks related to gallstones.
The nurse suspects that the client has a urinary tract infection (UTI) based on the client exhibiting which of the following early signs or symptoms?
a. Chills b. Dysuria c. Flank pain d. Lower back pain